|
|
|
|
To be filled in by Vilnius County State Tax Inspectorate (hereinafter – Vilnius STI) |
|||
|
Date of verification |
|
|
|
|
Certificate validity period from (year, month, day) to (year, month, day) |
From |
|
|
to |
|
|
To be filled in by representation / member of representation / employee of EU institution |
||
|
1. FROM VALUE ADDED TAX (HEREINAFTER – VAT) AND / OR EXCISE DUTY EXEMPTED REPRESENTATION / MEMBER OF REPRESENTATION / EMPLOYEE OF EU INSTITUTION |
||
|
Representation’s name |
Spustelėkite čia, kad įvestumėte tekstą. |
|
|
Representation member‘s / EU institution employee‘s name, surname |
Spustelėkite čia, kad įvestumėte tekstą. |
|
|
Representation member‘s / EU institution employee‘s accreditation code |
Spustelėkite čia, kad įvestumėte tekstą. |
|
|
Representation member‘s / EU institution employee‘s accreditation card validity period from (year, month, day) to (year, month, day) |
From |
|
|
to |
|
|
|
Address |
Spustelėkite čia, kad įvestumėte tekstą. |
|
|
E-mail address |
Spustelėkite čia, kad įvestumėte tekstą. |
|
|
Telephone number |
Spustelėkite čia, kad įvestumėte tekstą. |
|
|
To be filled in by representation / member of representation / employee of EU institution |
|||
|
2. DESCRIPTION OF THE GOODS AND / OR SERVICES FOR WHICH THE EXEMPTION FROM VAT AND / OR EXCISE DUTY IS REQUESTED |
|||
|
Vendor’s name or name, surname |
Spustelėkite čia, kad įvestumėte tekstą. |
||
|
Vendor‘s VAT identification number or tax identification number |
Spustelėkite čia, kad įvestumėte tekstą. |
||
|
Order number |
Spustelėkite čia, kad įvestumėte tekstą. |
Order date |
|
|
Spustelėkite čia, kad įvestumėte tekstą. |
|
Spustelėkite čia, kad įvestumėte tekstą. |
|
Status of signatory |
Signature |
Name and surname |
|
To be filled in by Vilnius STI |
||
|
|
||
|
|
||
|
|
|
|
|
Status of an authorized person of the Vilnius STI |
Signature and Vilnius STI stamp |
Name and surname of an authorized person of the Vilnius STI |
|
To be filled in by the vendor or vendor’s authorized person |
|||
|
|
|||
|
Vendor‘s VAT identification number or tax identification number |
|
||
|
Invoice date |
|
Invoice series and number |
|
|
|
|
|
|
Status of signatory signing on behalf of the vendor |
Signature |
Name and surname |
<< Grįžti